eMedicine Specialties > Plastic Surgery > Brow Lift

Brow Lift, Coronoplasty: Follow-up

Author: Matthew J Trovato, MD, Fellow, Division of Plastic Surgery, University of Medicine and Dentistry of New Jersey, New Jersey Medical School
Coauthor(s): Frank S Ciminello, MD, Director of Craniofacial Surgery, University Hospital, New Jersey Medical School
Contributor Information and Disclosures

Updated: Nov 10, 2009

Outcome and Prognosis

Brow lift or forehead lift procedures provide gratifying results. The rejuvenating effect of a well-executed brow lift can be the most beneficial change in an aging face, especially with early aging. Inappropriate expressions of anger or sadness can be eliminated by contouring the corrugator muscles; a tired, concerned look can be changed by elevating the brow and opening up the lateral orbital area so that an awake, alert, and refreshed appearance is evident. While most female patients appreciate a more feminine appearance to the periorbital area and upper third of the nose, many men can benefit from a more relaxed and rejuvenated appearance without the excessive brow elevation desirable in the female eyebrow.

Current techniques have reduced complications and allow patients to return to normal work and social activities within several days. Excellent results are expected with brow lifts using current state-of-the art endoscopic techniques, further diminishing recovery time but possessing limited efficacy for advanced aging.

As with any cosmetic procedure, objective preoperative and postoperative brow measurements allow the surgeon and patient to evaluate and re-evaluate diagnoses, surgical options, and long-term results.2

Method for quantitative topographic assessment of...

Method for quantitative topographic assessment of age related brow changes and operative technique.

[ CLOSE WINDOW ]
Method for quantitative topographic assessment of...

Method for quantitative topographic assessment of age related brow changes and operative technique.


Future and Controversies

Continued modification of laser techniques and chemical denervation (BOTOX®) are exciting developments that will change the treatment of the aging forehead in the future. At present, these are adjunctive measures that can assist in temporarily reversing the effects of aging. Currently, an open forehead or coronal brow lift or direct lateral lift are the most reliable and predictable methods of reversing aging in the upper third of the face.

 


More on Brow Lift, Coronoplasty

Overview: Brow Lift, Coronoplasty
Workup: Brow Lift, Coronoplasty
Treatment: Brow Lift, Coronoplasty
Follow-up: Brow Lift, Coronoplasty
Multimedia: Brow Lift, Coronoplasty
References
[ CLOSE WINDOW ]

References

  1. Matros E, Garcia J, Yaremchuck. Changes in eyebrow position and shape with aging. Plast Reconstr Surgery. 2009;124:1296-1301.

  2. Trovato MJ, Ciminello FS, Rauscher GE. Redefining the brow-lift: A quantitative topographic assessment of age-related changes and operative techniques. Presented at the American Society of Aesthetic Plastic Surgery, May 3, 2009.

  3. Stuzin JM, Wagstrom L, Kawamoto HK, Wolfe SA. Anatomy of the frontal branch of the facial nerve: the significance of the temporal fat pad. Plast Reconstr Surg. Feb 1989;83(2):265-71. [Medline].

  4. Communication with John Q. Owsley, M.D. 2008.

  5. Camirand A. Improvement of the Scars of Temporal and Frontal Face Lifts. In: McKinney P. Yearbook of Plastic Surgery. St. Louis: Mosby; 1993.

  6. Connell BF, Lambros VS, Neurohr GH. The forehead lift: techniques to avoid complications and produce optimal results. Aesthetic Plast Surg. 1989;13(4):217-37. [Medline].

  7. Connell BF, Marten TJ. The male foreheadplasty. Recognizing and treating aging in the upper face. Clin Plast Surg. Oct 1991;18(4):653-87. [Medline].

  8. Guyuron B. Subcutaneous approach to forehead, brow, and modified temple incision. Clin Plast Surg. Apr 1992;19(2):461-76. [Medline].

  9. Hamra ST. Composite Rhytidectomy. St. Louis: Quality Medical Publishing; 1993.

  10. Hamra ST. Composite rhytidectomy. Finesse and refinements in technique. Clin Plast Surg. Apr 1997;24(2):337-46. [Medline].

  11. Isse NG. Endoscopic facial rejuvenation. Clin Plast Surg. Apr 1997;24(2):213-31. [Medline].

[ CLOSE WINDOW ]

Further Reading

[ CLOSE WINDOW ]

Keywords

brow lift, coronoplasty, forehead lift, browlift, brow-lift, brow-plasty, facial rejuvenation, facelift, blepharoplasty

[ CLOSE WINDOW ]

Contributor Information and Disclosures

Author

Matthew J Trovato, MD, Fellow, Division of Plastic Surgery, University of Medicine and Dentistry of New Jersey, New Jersey Medical School
Disclosure: Nothing to disclose.

Coauthor(s)

Frank S Ciminello, MD, Director of Craniofacial Surgery, University Hospital, New Jersey Medical School
Frank S Ciminello, MD is a member of the following medical societies: American College of Surgeons
Disclosure: Nothing to disclose.

Medical Editor

R C A Weatherley-White, MD, Associate Clinical Professor of Surgery (Plastic), University of Colorado; Medical Director, Department of Plastic Surgery, Columbia Rose Medical Center
R C A Weatherley-White, MD is a member of the following medical societies: American Association of Plastic Surgeons, American Cleft Palate/Craniofacial Association, American College of Surgeons, American Society for Aesthetic Plastic Surgery, Colorado Medical Society, and Royal Society of Medicine
Disclosure: Nothing to disclose.

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: eMedicine Salary Employment

Managing Editor

Jorge I de la Torre, MD, FACS, Professor of Surgery and Physical Medicine and Rehabilitation, Residency Program Director, Division of Plastic Surgery, University of Alabama at Birmingham; Director, Center for Advanced Surgical Aesthetics
Jorge I de la Torre, MD, FACS is a member of the following medical societies: American Association of Plastic Surgeons, American Burn Association, American College of Surgeons, American Medical Association, American Society for Laser Medicine and Surgery, American Society for Reconstructive Microsurgery, American Society of Maxillofacial Surgeons, American Society of Plastic Surgeons, Association for Academic Surgery, and Medical Association of the State of Alabama
Disclosure: Nothing to disclose.

CME Editor

Nicolas (Nick) G Slenkovich, MD, Director, Colorado Plastic Surgery Center
Nicolas (Nick) G Slenkovich, MD is a member of the following medical societies: American Academy of Otolaryngology-Head and Neck Surgery, American College of Surgeons, American Medical Association, American Society of Aesthetic Plastic Surgery, American Society of Plastic Surgeons, and Colorado Medical Society
Disclosure: Nothing to disclose.

Chief Editor

Lars M Vistnes, MD, FRCSC, FACS, Professor of Surgery, Emeritus, Stanford University Medical Center
Lars M Vistnes, MD, FRCSC, FACS is a member of the following medical societies: Royal College of Physicians and Surgeons of Canada
Disclosure: Nothing to disclose.

 
 
HONcode

We subscribe to the
HONcode principles of the
Health On the Net Foundation

All material on this website is protected by copyright, Copyright© 1994- by Medscape.
This website also contains material copyrighted by 3rd parties.

DISCLAIMER: The content of this Website is not influenced by sponsors. The site is designed primarily for use by qualified physicians and other medical professionals. The information contained herein should NOT be used as a substitute for the advice of an appropriately qualified and licensed physician or other health care provider. The information provided here is for educational and informational purposes only. In no way should it be considered as offering medical advice. Please check with a physician if you suspect you are ill.